Medical Director in Penang or KL

3 days ago

Singapur, Singapore Disruptive Doctors Full time

We provide managed healthcare services to corporate clients ranging from SMEs to MNCs. Responsibilities Medical/Regulatory Oversight Serve as Clinical Governance Officer (CGO) for all our clinics Lead audit preparation and execution to ensure regulatory compliance Act as the ordering doctor for laboratory and imaging tests, including prompt responses to critical results Address general medical regulations queries from internal and external stakeholders Lead initiatives to manage and reduce the cost of medical claims through clinical review, provider negotiation, and strategic interventions. Conduct and oversee claims audits, identifying patterns of overutilization or fraud, waste, and abuse (FWA). Monitor provider performance and billing behavior to identify and mitigate fraud, waste, and abuse (FWA); initiate corrective actions where necessary. Develop internal cost containment SOPs and workflows in collaboration with operational teams to streamline claims processing and medical adjudication. Act as the primary client-facing representative for all matters related to medical cost containment. Prepare regular reports and presentations for leadership and clients, highlighting key cost drivers, trends, and opportunities for optimization. Clinical Support Review Patient Information Leaflets (PIL) Perform regular medication reviews and sign off for VIP, ensuring safe and effective treatment plans Claims, LOG and Pre-Authorization Act as the final medical escalation point for claims, LOG, and pre-authorization within the company Develop and refine general guidelines and definitions for medical reimbursable claims Provide strategic support to the Claims and LOG teams in developing and enhancing STP workflows and overall process improvements Business Development Support Participate in presentations and stakeholder engagement as a clinical representative Collaborate on workflow reviews to align clinical operations with BD initiatives Contribute to the ongoing refinement of company data analytics, offering client insights and actionable strategies. Provide KIV support for on-site rollout of services Participation in initiative-based projects as required, including clinical input and representation in BD-related presentations and discussions Chronic disease management program- Involvement in design, execution, and evaluation LPA program- Support for program rollout and medical compliance Job Requirements Medical Degree from a recognized university (MD or MBBS preferred) Minimum 5 years of relevant experience in TPA or insurance company Willingness to support after-office-hours remotely #J-18808-Ljbffr

  • Medical Director in Penang or KL

    3 days ago

    Singapur, Singapore Disruptive Doctors Full time

    We provide managed healthcare services to corporate clients ranging from SMEs to MNCs. Responsibilities Medical/Regulatory Oversight Serve as Clinical Governance Officer (CGO) for all our clinics Lead audit preparation and execution to ensure regulatory compliance Act as the ordering doctor for laboratory and imaging tests, including prompt responses to...

  • Lead Legal Counsel | Trading, Property

    5 days ago

    Singapur, Singapore THE SUPREME HR ADVISORY PTE. LTD. Full time

    The company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as service apartments. Right now, they are looking for a legal expert to help build a legal team. Job Details: Salary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location:...

  • Group Legal Counsel | Steel Trading

    1 day ago

    Singapur, Singapore THE SUPREME HR ADVISORY PTE. LTD. Full time

    Overview Salary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location: MRT nearby are Tanjong Pagar or Shenton Way The company is a group that focuses on trading and distributing steel-related products . They are also involved in developing properties , such as service apartments. Right now, they are looking for a...

  • 7506 - Group Legal Counsel

    1 day ago

    Singapur, Singapore THE SUPREME HR ADVISORY PTE. LTD. Full time

    Overview The company is a group that focuses on trading and distributing steel-related products. They are also involved in property development, such as service apartments. They are seeking a legal expert to help build a legal team. There will be a 105-minute pre-interview assessment for shortlisted candidates. Salary: $15,000 - $20,000 + AWS + Bonus Working...

  • Underwriting Medical Director

    4 weeks ago

    Singapur, Singapore Randstad Singapore Full time

    Overview Join to apply for the Underwriting Medical Director role at Randstad Singapore . Our client, one of the reputable life insurance companies in Singapore. Responsibilities In this position as a Underwriting Medical Director , you will work with the New Business and High Net-Worth teams to achieve competitive underwriting outcomes and provide expert...

  • 6154 - Legal Counsel [ Construction / M&A ]

    4 weeks ago

    Singapur, Singapore THE SUPREME HR ADVISORY PTE. LTD. Full time

    Group Legal Counsel ( Full Time ) Salary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location: ANSON ROAD SPRINGLEAF TOWER, MRT nearby are Tanjong Pagar or Shenton Way The company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as...

  • 7506 - Group Legal Counsel

    4 weeks ago

    Singapur, Singapore THE SUPREME HR ADVISORY PTE. LTD. Full time

    Salary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location: Tanjong Pagar or Shenton Way MRT The company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as service apartments. Right now, they are looking for a legal expert to help...

  • Group Legal Counsel

    4 weeks ago

    Singapur, Singapore THE SUPREME HR ADVISORY PTE. LTD. Full time

    Group Legal Counsel Salary: $15,000 - $20,000 + AWS + Bonus Working Days: 5 days Working Timing: 9AM to 6PM Working Location: ANSON ROAD SPRINGLEAF TOWER, MRT nearby are Tanjong Pagar or Shenton Way The company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as service...

  • Group Legal Counsel

    2 weeks ago

    Singapur, Singapore THE SUPREME HR ADVISORY PTE. LTD. Full time

    Overview Salary: $15,000 - $20,000 + AWS + Bonus. Working days: 5 days. Working hours: 9:00 AM – 6:00 PM. Location: ANSON ROAD SPRINGLEAF TOWER, MRT nearby are Tanjong Pagar or Shenton Way. The company is a group that focuses on trading and distributing steel-related products. They are also involved in developing properties, such as service apartments....

  • Global Medical Director

    1 day ago

    Singapur, Singapore SciGen Pte. Ltd. Full time

    Overview We are seeking a visionary and globally-minded Medical Director to join our Global leadership team. Your primary mandate is to shape and contribute to our global medical strategy. You will be the key scientific bridge, integrating insights for the global development plans for our portfolio. You will ensure global strategies are informed by and...